Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.68 / $2,113.00 / $10,268.00	Facility		$128.68	$2,113.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.36 / $141.37 / $259.56	Professional		$71.36	$141.37	$259.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,927.00 / $3,943.00	Facility		$937.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.40 / $112.53 / $215.17	Professional		$57.40	$112.53	$215.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $67.58 / $81.09 / $100.37	Facility		$67.58	$81.09	$100.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $120.67 / $160.56 / $160.56	Professional		$120.67	$160.56	$160.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,571.00 / $21,571.00 / $21,571.00	Facility		$21,571.00	$21,571.00	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.34 / $146.77 / $267.29	Professional		$78.34	$146.77	$267.29
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $81.09 / $156.85 / $282.77	Professional		$81.09	$156.85	$282.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $114.80 / $155.32 / $209.77	Professional		$114.80	$155.32	$209.77
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $979.00 / $3,218.00	Facility		$444.00	$979.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $120.71 / $167.89 / $319.02	Professional		$120.71	$167.89	$319.02